Virginia operates two managed care programs: Medallion 4.0 and Commonwealth Coordinated Care Plus (CCC Plus). Although Medallion 4.0 and CCC Plus operate as separate managed care programs, the same six health plans serve both programs, and all health plans are available statewide. Individuals have a choice of plan. Medallion 4.0 – Full-risk, capitated health plans provide physical and behavioral health to children, parents/caretaker relatives, and the non-medically complex Medicaid expansion population. Medallion 4.0 fully replaced Medallion 3.0 in December 2018. The major differences between the programs include the inclusion of behavioral health services . . .